Individual
MRS. AMANDA S WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MTI
Contact information
Practice address
250 UPPER PINE RIDGE RD, RUSSELLVILLE, AR 72802-1689
(479) 970-4363
Mailing address
250 UPPER PINE RIDGE RD, RUSSELLVILLE, AR 72802-1689
(479) 970-4363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4138
AR
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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